Form ID

Publication date

Location of premises

Certificate

Underground Services and Primary Roadworks

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Forwell Developments Ltd.
Address of Owner
32 Forwell Road, Kitchener, ON N2B 3E8
Name of Contractor
Subterra Waterloo Inc.
Address of Contractor
934 Guelph St., Kitchener, ON N2H 5Z6.
Name of Certifier
MTE Consultants Inc.
Address of Certifier
650 Riverbend Drive, Kitchener, ON N2K 3S2.

Office to which claim for lien must be given to preserve lien

MTE Consultants Inc.